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Communication in autism spectrum disorder: a guide for pediatric nurses
Insights
Nurses can improve care for children with autism spectrum disorder (ASD) by understanding communication challenges. Simple environmental and communication style adaptations enhance nurse-child interactions.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Nursing
- Communication Sciences
Background:
- Autism spectrum disorder (ASD) affects 1 in 68 children in the U.S.
- ASD is characterized by impairments in social interaction, communication, and behavior.
- Effective communication is crucial for nurses providing quality care to children with ASD.
Purpose of the Study:
- To explore the communication challenges faced by children with ASD.
- To examine theoretical frameworks explaining ASD's impact on communication.
- To identify practical strategies for improving nurse-child communication in ASD care.
Main Methods:
- Review of theoretical frameworks for ASD and communication (e.g., theory of mind, central coherence, executive function).
- Analysis of communication difficulties in children with ASD, including vocalic, kinesthetic, and proxemic aspects.
- Synthesis of literature on environmental and stylistic adaptations for effective communication.
Main Results:
- Children with ASD experience specific difficulties in vocalic, kinesthetic, and proxemic communication.
- Theoretical models provide insight into the neurological underpinnings of these communication challenges.
- Adaptations in environmental and communication styles can significantly improve interactions.
Conclusions:
- Understanding ASD-related communication barriers is essential for nurses.
- Simple, practical adaptations can enhance the effectiveness of nurse-child communication.
- Improved communication facilitates higher quality care for children with ASD.
Abstract:
In the United States, one in every 68 children has autism spectrum disorder (ASD) (Centers for Disease Control and Prevention, 2014). ASD is a developmental disorder of the brain that is characterized by impairments in social interaction, communication, and repetitive patterns of behavior (American Psychiatric Association [APA], 2013). Nurses have a duty to provide high quality care to children with ASD. Effective communication is essential to providing quality care. Three main theories attempt to explain how the ASD brain functions and the implications on communication: lack of theory of mind, weak central coherence, and lack of executive function. Children with ASD have difficulties in vocalic, kinesthetic, and proxemic aspects of communication (Notbhom, 2006). Simple adaptations to environment and style can make the communication between nurses and children with ASD easier and more effective (Aylott, 2000; Green et al., 2010).
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